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Pressure Ulcer Prevention Jeopardy Pressure Ulcer Prevention.

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Presentation on theme: "Pressure Ulcer Prevention Jeopardy Pressure Ulcer Prevention."— Presentation transcript:

1 Pressure Ulcer Prevention Jeopardy Pressure Ulcer Prevention

2 200 pt 300 pt 400 pt 500 pt 100 pt 200 pt 300 pt 400 pt 500 pt 100 pt 200 pt 300 pt 400 pt 500 pt 100 pt 200 pt 300 pt 400 pt 500 pt 100 pt 200 pt 300 pt 400 pt 500 pt Prevention A & PRisk FactorsNutrition Positioning/ Repositioning 100 pt

3 List three ways to prevent pressure ulcers. Pressure Ulcer Prevention 100 points - Prevention

4 Repositioning Incontinence care Toileting schedules Pressure relief devices Adequate nutrition Skin inspections weekly Use of moisturizing lotion and/or barrier creams Avoid friction/shearing Use of therapy/CRA programs. 100 points

5 How often should an at-risk resident’s skin be inspected for breakdown? Pressure Ulcer Prevention 200 points - Prevention

6 Daily with personal cares. Documented weekly by licensed nurse. 200 points

7 What do you look/feel for when inspecting a resident’s skin? Pressure Ulcer Prevention 300 points - Prevention

8 Changes in skin color and/or temperature Open areas or abrasions Mushy/boggy area Area painful to touch 300 points

9 How do you check for bottoming out? Pressure Ulcer Prevention 400 points - Prevention

10 Place hand under chair cushion (under hips) or mattress overlay (under shoulders or hips), Lift fingers. Should feel at least 1 inch of padding between resident and your fingers. 400 points

11 Define FRICTION and SHEARING. Pressure Ulcer Prevention 500 points – Prevention

12 FRICTION – Skin rubbing over a surface, i.e. sheets SHEARING - When the skin sticks to a surface while the body is pulled/moved. 500 points

13 What is the body’s first line of defense against infections/microorganisms? Pressure Ulcer Prevention 200 points – A & P

14 THE SKIN Intact skin keeps outside micro- organisms from entering the body. 200 points

15 What is another name for a pressure ulcer? Pressure Ulcer Prevention 200 points – A & P

16 Bed sore, decubitus ulcer 200 points

17 Name 3 areas on the body where pressure ulcers are most likely to occur. Pressure Ulcer Prevention 300 points – A & P

18 Bony prominences: back of head, ears, shoulders, spine, hips, coccyx/sacrum, inner/outer ankles, heels, toes, sides of feet. Areas that rub: casts, prosthesis. 300 points

19 What are the first signs of a pressure ulcer? Pressure Ulcer Prevention 400 points – A & P

20 Persistent area of redness or discoloration that does not disappear when pressure is relieved 400 points

21 What is the difference between a stage II and a stage III pressure ulcer? Pressure Ulcer Prevention 500 points – A & P

22 Stage II – partial thickness skin loss,, superficial, presents as an abrasion, blister, or shallow crater Stage III – full thickness loss involving subcutaneous tissue, may extend down to, but not through, underlying fascia 500 points

23 List 3 things that put a resident at risk for developing a pressure ulcer. Pressure Ulcer Prevention 100 points – Risk Factors

24 Restraints Incontinence Immobility Acute illness History of pressure ulcers Poor nutrition Certain medical diagnosis/meds Weight loss Obesity Cognitive impairment Edema Newly admitted in past 2 weeks 100 points

25 Name 3 sources of moisture that can damage the skin. Pressure Ulcer Prevention 200 points – Risk Factors

26 Incontinence of urine and/or stool Perspiration Wound drainage 200 points

27 True or False All pressure ulcers are preventable. Pressure Ulcer Prevention 300 points – Risk Factors

28 False Most pressure ulcers indicate an inadequacy in basic care. However terminally ill residents can develop pressure ulcers even though care is appropriate. 300 points

29 Cognitive impairment and edema are both risk factors for developing pressure ulcers. Explain why. Pressure Ulcer Prevention 400 points – Risk Factors

30 The cognitively impaired resident may not recognize pain, remember to change position, or be able to verbalize needs. Edema makes the skin more fragile and may indicate circulatory problems. 400 Points

31 A resident has a higher risk of developing a pressure ulcer within the first 2 weeks of admission to a NH. Explain why. Pressure Ulcer Prevention 500 points – Risk Factors

32 Change in health status Acute illness Immobility from hospital stay NH staff not familiar with the resident’s needs, wants, routine 500 points

33 Name 2 food sources of protein. Pressure Ulcer Prevention 100 points - Nutrition

34 Meat Peanut butter Cheese Eggs Nuts Legumes/beans 100 points

35 True or False It is important to weigh a resident more often than monthly if they are at high risk or have actual skin breakdown. Pressure Ulcer Prevention 200 points - Nutrition

36 TRUE Weekly or every other week is best. Nutritional intake and skin health are directly related to each other. Weight loss or excess weight gain can indicate presence of either a physical or nutritional problem. 200 points

37 Which is more important in preventing or treating a pressure ulcer: nutrition or hydration? Pressure Ulcer Prevention 300 points - Nutrition

38 Both are equally important in skin health. You must have adequate protein and calorie intake as well as adequate fluids for pressure ulcers to heal. 300 points

39 When feeding a resident which foods or fluids are most important i.e. which ones do you start with or encourage most? Pressure Ulcer Prevention 400 points - Nutrition When feeding a resident, which foods or fluids are most important, i.e. which ones do you start with or encourage most?

40 Start with resident preference but encourage protein sources, fortified foods, high calorie supplements. 400 points

41 True or False An obese resident and a very thin resident may both be at risk for developing a pressure ulcer. Pressure Ulcer Prevention 500 points - Nutrition

42 TRUE Obesity or thinness does not equal good nutritional status. Either resident could be in poor nutritional health. You must look at the overall risk factors. 500 points

43 True or False Donut-type cushions help relieve/prevent pressure. Pressure Ulcer Prevention 100 points – Positioning/Repositioning

44 FALSE Actually they increase pressure and decrease blood flow. Do NOT use donut cushions. 100 points

45 How can you protect the heels from breaking down when a resident is in bed? Pressure Ulcer Prevention 200 points – Positioning/Repositioning

46 Float heels by using a pillow under lower legs to raise heels off bed. Heel protectors and sheepskins help to reduce friction, but do not prevent pressure ulcers. 200 points

47 If a resident has a pressure ulcer, how do you properly position him on his side i.e. where do you place pillows and why? Pressure Ulcer Prevention 300 points – Positioning/Repositioning

48 Place pillows behind the back, between knees and ankles/feet – keeping the body aligned. This adds padding to bony areas and decreases pressure on bony prominences. Avoid placing resident on the actual ulcer or problem area. 300 points

49 Pressure Ulcer Prevention 400 points – Positioning/Repositioning What is one way to organize a resident room to encourage independence and slight position changes?

50 Place the overbed table within safe reach so the resident is encouraged to reach for personal items i.e. phone, comb, papers, water, etc. but not so far away that it increases their risk for falls. 400 points

51 What are the rules for frequency of repositioning in bed and chair? Pressure Ulcer Prevention 500 points – Positioning/Repositioning

52 Position in bed must be changed at least every two hours. If up in chair, reposition every hour. If alert, teach them to shift weight in chair every 15 minutes. All staff can help prompt/cue residents to shift their position. 500 points

53 Jeopardy Game Template adapted from the work of Susan Collins and Eleanor Savko, District Resource Teachers for Hardin County Schools: This material was prepared by the Kansas Foundation for Medical Care, Inc. (KFMC), the Medicare Quality Improvement Organization for Kansas, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. 10SOW-KS-NH_PrU Pressure Ulcer Prevention


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